12 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Los Angeles, CA
3-star overall rating with 2-star inspections with 12 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
11500 Nimitz Avenue, Los Angeles, CA
(424) 832-8200
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
312
Certified beds
Average residents
142
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2019-11-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.33
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.11
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
3.60
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
6.03
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.44
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
5.54
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.98
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.75
CMS adjusted RN staffing hours
Adjusted total hours
7.94
CMS adjusted total nurse staffing hours
Case-mix index
1.04
Higher values indicate more complex resident acuity
RN turnover
11%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
24%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
57
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
91.27
Composite VBP score used to determine payment impact.
Payment multiplier
1.0274
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
8.25
Baseline 49.85% · Performance 29.95% · Measure score 8.25 · Achievement 8.25 · Improvement 7.46
Adjusted total nurse staffing
10
Baseline 8.84 hours · Performance 7.14 hours · Measure score 10 · Achievement 10 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | 57.89% |
95.27%
37.4 pts worse
|
Numerator 33 · Denominator 57 |
| Falls with major injury | 1.75% |
0.77%
1 pts worse
|
Numerator 1 · Denominator 57 |
| Discharge self-care score | 47.06% |
53.69%
6.6 pts worse
|
Numerator 16 · Denominator 34 |
| Discharge mobility score | 17.65% |
50.94%
33.3 pts worse
|
Numerator 6 · Denominator 34 |
| Pressure ulcers or injuries, new or worsened | 5.26% |
2.29%
3 pts worse
|
Numerator 3 · Denominator 57 · Adjusted rate 4.94% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 9.56% |
8.2%
1.4 pts better
|
Numerator 43 · Denominator 450 |
| Staff flu vaccination coverage | 22.61% |
42%
19.4 pts worse
|
Numerator 97 · Denominator 429 |
| Discharge function score | 52.94% |
56.45%
3.5 pts worse
|
Numerator 18 · Denominator 34 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 53.85% |
25.2%
28.7 pts better
|
Numerator 14 · Denominator 26 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.4 |
2.3
1.9 pts better
|
1.9
1.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.6
1.1 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.0% |
98.5%
4.5 pts worse
|
93.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 92.8% · Q2 93.7% · Q3 95.1% · Q4 94.4% · 4Q avg 94.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.2%
1.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.1% |
1.6%
6.5 pts worse
|
3.3%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 7.7% · Q3 9.0% · Q4 9.1% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.1% |
6.8%
2.7 pts better
|
11.4%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 2.5% · Q3 4.0% · Q4 4.9% · 4Q avg 4.1% |
| Percentage of long-stay residents who lose too much weight | 5.9% |
4.1%
1.8 pts worse
|
5.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 5.4% · Q3 8.6% · Q4 7.0% · 4Q avg 5.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.6% |
13.7%
6.1 pts better
|
19.6%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 7.2% · Q3 7.5% · Q4 7.4% · 4Q avg 7.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.9% |
14.2%
7.7 pts worse
|
16.7%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 20.0% · Q3 21.9% · Q4 22.7% · 4Q avg 21.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.2% |
11.0%
0.8 pts better
|
16.3%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.2% · Q2 15.1% · Q3 8.7% · Q4 3.4% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.2% |
10.7%
6.5 pts worse
|
14.9%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 16.9% · Q3 12.7% · Q4 20.2% · 4Q avg 17.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.7% |
1.0%
3.7 pts worse
|
1.0%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 5.7% · Q3 5.2% · Q4 4.3% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.6% |
1.2%
2.4 pts worse
|
1.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 0.7% · Q3 6.4% · Q4 2.2% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.2% |
10.9%
0.7 pts better
|
19.8%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 14.3% · Q3 7.8% · Q4 10.9% · 4Q avg 10.2% |
| Percentage of long-stay residents with pressure ulcers | 2.1% |
4.7%
2.6 pts better
|
5.1%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.4% · Q3 1.8% · Q4 2.1% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.2% |
94.0%
14.8 pts worse
|
81.7%
2.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 79.2% |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Nutrition and Dietary (5 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Pharmacy Service (5 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Not marked corrected
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Not marked corrected
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Not marked corrected
Fire Safety
Use approved construction type or materials.
Not marked corrected
Fire Safety
Install corridor and hallway doors that block smoke.
Not marked corrected
Fire Safety
Have power receptacles that are properly grounded.
Not marked corrected
Fire Safety
Ensure proper usage of power strips and extension cords.
Not marked corrected
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Not marked corrected
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Not marked corrected
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Not marked corrected
Fire Safety
Have simulated fire drills held at unexpected times.
Not marked corrected
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-06
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-01-06
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-01-06
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-01-06
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-01-06
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-02-22
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-02-22
Inspection history
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2026-02-10
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2026-01-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-12
Health
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected 2026-01-12
Health
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Corrected 2026-01-12
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2026-01-12
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-01-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-12
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2026-01-12
Health
Provide or obtain dental services for each resident.
Corrected 2025-11-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-03
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-07
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-01-07
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-01-07
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-01-07
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-01-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-07
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2025-01-07
Health
Dispose of garbage and refuse properly.
Corrected 2025-01-07
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-11-21
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-11-21
Health
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected 2024-08-19
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-16
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-22
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-02-28
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-02-28
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-02-28
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-02-28
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-02-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-28
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-02-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-28
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-02-28
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-02-28
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-02-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-28
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-02-28
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-28
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-02-28
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-03-19
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-03-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-29
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-06-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Nearby options
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3-star overall rating with 3-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Los Angeles, CA
1-star overall rating with 1-star inspections with abuse icon flag with $52,129 in total fines with 26 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Los Angeles, CA
2-star overall rating with 2-star inspections with $128,644 in total fines with 26 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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